2024-03-29T05:00:36Z
https://review.chpams.org/oai
oai:ojs.scholarlyexchange.org:article/15096
2016-09-22T22:11:58Z
CHR:Letter
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"150908 2015 eng "
2325-1549
2325-1557
dc
The impact of China’s ‘Zero-markup Policy for Essential Drugs’ on patients, county hospital revenue and government subsidy levels
Su, Yanfang
Zhou, Zhongliang
Campbell, Ben
经倍差法分析,药品零差率政策对病人的就医费用和医院收入有显著影响。政策实施后,次均门诊费用降低19元,次均住院费用降低近400元;县级医院的医疗服务提供量增加、医院总收入增加的同时,药品收入减少。从政府补贴的角度看,我们的研究测算了确保医院收入年增长率5%的情况下,药品零差率政策实施时政府应该补贴给医院的额度。分析表明,即使药品的价格下降,因为医疗服务的使用率增加,医院收入增加,政府补贴的负担很小。经系统分析,药品零差率政策可以在零补贴或者是少量补贴的情况下可持续地实施。
In 2009, China implemented a Zero-markup Policy for Essential Drugs (ZPED), a policy with potential to dramatically improve health in the country. This series of studies aims to evaluate the impact of ZPED on patients, county hospital revenue and government subsidy levels.
Data from Ningshan and Zhenping county hospitals were collected. The hospitals were selected because they were comparable in many ways, with the exception of Ningshan having implemented ZPED during a period when Zhenping had not. Ningshan, therefore, was used as the experimental group and Zhenping the control group. To compare outcomes of interest between the counties, the primary method of analysis was a difference-in-differences model.
The results showed that ZPED had an effect on patients’ medical expenditure, county hospital revenue and government subsidy levels. With regard to patients, in absolute terms, the total expense per visit reduced by 19.02 CNY (3.12 USD) for outpatient services and 399.6 CNY (65.60 USD) for inpatient services. In relative terms, the expense per visit was reduced by 11% for both outpatient and inpatient services. With regard to the impact on county hospital revenue, for Ningshan County hospital, ZPED led to an increase in health care provision and a sustained total hospital income despite a decrease in drug revenue. Lastly, with regard to government subsidy levels, the research demonstrates that with minimal or no subsidy, the government can catalyze the zero-markup policy and potentially generate positive outcomes for county hospitals. Overall, this research showed that ZPED has led to positive outcomes for patients, county hospitals and the government.
The China Health Policy and Management Scoiety
2015-08-23 00:00:00
application/pdf
https://review.chpams.org/article/view/15096
China Health Review; Vol. 6 No. 1 (2015)
eng
Copyright (c) 2015 Yanfang Su
oai:ojs.scholarlyexchange.org:article/15163
2015-05-10T04:04:53Z
CHR:Letter
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"121010 2012 eng "
2325-1549
2325-1557
dc
Comment on “'1+N' method: a promising way to quality and affordable health care for China's 1.3 billion people”
Shi, Lu
US Centers for Disease Control and Prevention http://scholar.google.com/citations?user=ssD0rRwAAAAJ&hl=en
The China Health Policy and Management Scoiety
2015-05-09 23:59:56
application/pdf
https://review.chpams.org/article/view/15163
China Health Review; Vol. 3 No. 3 (2012)
eng
Copyright (c) 2015 Lu Shi
oai:ojs.scholarlyexchange.org:article/15762
2016-09-22T22:11:58Z
CHR:Letter
nmb a2200000Iu 4500
"150908 2015 eng "
2325-1549
2325-1557
dc
Effectively Facilitating the Collaboration between the Environmental Health Community in China and Overseas Scholars
Liu, Yang
This commentary discusses the difficulties facing US-based researchers in collaborating with Chinese research institutions, and proposes a potential solution led by non-government funding agencies.
中国近年来的经济发展在带动整个社会进步的同时也带来了日益严重的环境污染。评估并管理由此产生的全社会范围的健康风险是中国政府急需解决的一个重要问题。在美国大学任职的华裔科学家是中美在环境健康领域合作的中坚力量,对培养中国科研人才,提高科研水平起着至关重要的作用。然而美国日益激烈的科研竞争以及大学对教授业绩的评价体制导致华裔科学家的工作很难被其所在的机构认可,客观上抑制了中美之间的交流。本文针对这种情况,建议以CMB为代表的基金会等组织对华裔科学家在中国的工作提供有限度的经费资助,从而保证华裔科学家在华的时间投入,从而有效推进双方的深入合作。
The China Health Policy and Management Scoiety
2015-08-23 00:00:00
application/pdf
https://review.chpams.org/article/view/15762
China Health Review; Vol. 6 No. 1 (2015)
eng
Copyright (c) 2015 Yang Liu
oai:ojs.scholarlyexchange.org:article/16224
2016-09-22T22:11:40Z
CHR:Letter
nmb a2200000Iu 4500
"160424 2016 eng "
2325-1549
2325-1557
dc
Review of The China-US partnership to Prevent Spina Bifida – The Evolution of a Landmark Epidemiological Study, by Deborah Kowal”
Chen, Zhuo (Adam)
The China Health Policy and Management Society http://scholar.google.com/citations?user=ssD0rRwAAAAJ&hl=en
简介:Deborah Kowal所著《中美合作小儿脊椎裂预防项目—一个重要流行病学研究的演变》一书介绍了中美合作开展社区预防小儿脊椎裂的研究及其中的一些逸事,并为有兴趣开展类似研究的学者提供不少中美合作的相关经验。书中也提到叶酸干预的成本效益分析。美中不足是缺少一个中英文姓名对照。
Let me say it right here: The China-US Partnership to Prevent Spina Bifida – The Evolution of a Landmark Epidemiological Study, by Deborah Kowal, is a monumental work. And here is why.
The book is a vivid account of a large epidemiological study spanning roughly sixteen years, from the conversation that started the project in 1983 to the first published results in 1999. There were new cultural and physical environments to get used to, bureaucratic hurdles to overcome, and miscommunications to clear up. The dedicated public health professionals from the U.S. and China overcame these issues in order to achieve the common goal of preventing neural tube defects (NTDs), which can happen early in a pregnancy. All this is chronicled in the book, along with revealing anecdotes and side-stories. Kowal, for example, notes how The Centers for Disease Control and Prevention (CDC) visitors reacted to hearing the American cowboy song "Home on the Range" played on Chinese instruments — namely, “strange and eerily out of place.”
The China Health Policy and Management Scoiety
2016-04-24 00:00:00
application/pdf
https://review.chpams.org/article/view/16224
China Health Review; Vol. 7 No. 1 (2016)
eng
Copyright (c) 2016 Zhuo (Adam) Chen